Comprehensive Training in all Areas of Anesthesiology

Clinical Base

The first postgraduate year, classified as Categorical in the NRMP, includes rotations in internal medicine (three months), one month of general surgery (or other surgical subspecialty such as vascular or transplant), one month of ENT surgery, emergency medicine (one month), surgical ICU (one month), cardiothoracic ICU (one month), pain medicine (one month) and OR anesthesia (three months). The three months of anesthesia include a “boot camp” experience, serving as an introduction into the ORs and the systems and technology used at University Hospitals. Residents are prepared to start taking full OR call and responsibility by the completion of the clinical base year.


During three years of Clinical Anesthesia, residents assume increasing responsibility in the selection and administration of anesthesia and the pre- and post-operative care of patients for all types of surgical and obstetrical procedures. Nearly one quarter of all surgical procedures are performed on children. With UH now becoming a Level I Trauma center, residents get extensive experience in the trauma and emergency fields.

The Department of Anesthesiology stresses residents’ active participation in the patient’s anesthetic and respiratory management. Early on in clinical rotations, residents work closely with an experienced anesthesiologist. Later, residents are expected formulate anesthetic plans and manage anesthetic problems independently, but faculty consultation is always available.

In the CA-I and CA-II years, the clinical education focuses on the pharmacology and physiology related to clinical problems. Rotations are in all fields of anesthesia including pediatrics, cardiothoracic, neurological surgery, orthopedic surgery, and obstetrics. Residents also rotate through two months of perioperative medicine during this time, as well as one month of preoperative clinic for preoperative clearances. The CA-III year is designed to broaden the resident’s experience and allows for customization of each resident’s education, based on their interests. Residents may elect to work during this time in specialized areas of clinical anesthesia, such as cardiothoracic, surgery, neurological surgery, obstetrics, pediatrics, orthopedics (regional anesthesia) or pain management.

The department also offers ample opportunities in research, with research time available during the CA2 and CA3 years. The pain department in particular has published many articles in recent years in distinguished journals.

Our Didactic Program

Great emphasis is placed on undergraduate and postgraduate education in the Department of Anesthesiology. Postgraduate education is coordinated through the Graduate School of Case Western Reserve University. Continuing series of lectures and discussion groups reinforce educational development. Wednesdays feature a 7:00 a.m. Wednesday Anesthesia Conference. Near the end of the year, each CA3 resident gives a Wednesday morning talk on a topic of their choosing. The program is in the process of transitioning to “academic half days” on Wednesdays. On these days, residents have protected time out of the ORs to attend lectures given by faculty members. These conferences provide the opportunity for interactive problem solving and discussion between faculty, visiting scholars, resident physicians, and medical students. A monthly resident-driven journal club analyzes important and controversial subjects.

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